General Therapy Manual

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Note: The manual attached below follows guidelines for the implementation of ACT derived from Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change (1999) by Hayes, Strosahl, and Wilson.

As such, it is meant to supplement rather than serve as a replacement for this book in the implementation of ACT.

Accordingly, users of this manual should be familiar with the principles of ACT outlined in this book as well as additional techniques and procedures covered within it that are not explicitly contained in this manual.

(Thanks for this manual Rob Zettle!)


Post-Session Questionnaire

I am reviewing Zettle's Complete ACT Manual and would like to locate a template for the post-session questionnaire. Can this be found on this site? Thank you for your help.

post-session questionnaire

Hello, where you ever able to locate the post-session questionnaire? If yes, could you share with me what steps you took to obtain a copy. Thanks!

Post-session questionnaire

Hi there,

I am sorry, but I believe the questionnaire you are looking for is not located on our website. I would encourage you to contact Rob Zettle to request the information you are looking for. You may have luck finding him through our membership directory, here:

Good luck with your work.


Where is it?

I keep trying to access 'the manual attached below" can anyone tell me where it is?

Links for attachments

Links for attachments appear when you are logged into a current, paid ACBS member account. Attachments, videos, etc. are privileges of paid membership. Membership can cost you as little as $10 so it's easy to join.

Find more information here:

Thank you,



What is the ATQ?

The complete ACT manual (Zettle) states: "Prior to beginning each session each subject completes a BDI and ATQ."

I'm familiar with the Beck Depression Inventory. What is the ATQ?



The ATQ stands for the Automatic Thoughts Questionnaire (ATQ; Hollon & Kendall, 1980). The ATQ measures depressogenic thought frequency. This measure is commonly used in depression studies examining the impact of cognitive therapy. However, the ATQ-B is a revision to this measure by Jacobson and colleagues aimed at assessing the believability of these depressive thoughts if they occur and it has been used as a proxy measure for defusion in the ACT community (ATQ-B; Addis & Jacobson, 1996). Recent studies have used both the ATQ-F for frequency of automatic/depressive thoughts and the ATQ-B for believability of (or fusion with) these thoughts. Some studies have shown that the ATQ-B mediates outcomes (Zettle & Hayes, 2008 - a reanalysis of the 1986 study).

I've added a copy of the measure to the Measures and Assessment section of the site (under resources).